Substance Use Disorders/Motivational Interviewing Flashcards

1
Q

When you are interviewing a patient, should you use medical terminology?

A

No, medical terminology should be avoided if possible and the use of age appropriate language should be utilized to get the most effective answers/establish rapport

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2
Q

Why is motivational interviewing used in history taking?

A

It helps to promote self-motivation for the patient

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3
Q

What are the aspects of motivational interviewing?

A

Goal-oriented
Language of change
Coaching process
Motivate positive behavior change

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4
Q

What is an important aspect of motivational interviewing?

A

Empowerment of the individual

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5
Q

What is the most common and harmful form of child maltreatment?

A

Neglect

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6
Q

What is the largest preventable risk factor in the top 10 leading causes of death?

A

Substance misuse

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7
Q

What is an example of hazardous use?

A

Acute intoxication episodes

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8
Q

Are self-report tests valid and reliable?

A

Yes

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9
Q

Should you interview an intoxicated paitent?

A

No, they can be deceptive and defensive in their answers. Only interview a sober patient

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10
Q

What are the two international screening tests for substance misuse?

A

AUDIT and ASSIST

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11
Q

When you are asking a patient about drug use, should you use their formal names?

A

No, use the names the patient uses (ie; marijuana->weed, MJ, mary jane, edibles, etc.)

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12
Q

When using ASSIST, is question 5 used for the tobacco use assessment?

A

No, it is not valid for this drug

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13
Q

Are relapses expected in patients with SUD during their quitting process?

A

Yes, relapses should be expected

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14
Q

As part of the motivational interviewing process, what is an important part of enhancing self-motivation?

A

Personalized feedback

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15
Q

Withdrawal symptoms:
-autonomic hyperactivity
-increased hand tremor
-insomnia
-nausea/vomitting/diarrhea
-transient visual, auditory, or tactile hallucinations
-psychomotor agitation
-generalized tonic-colonic seizures (DT’s)

A

Alcohol withdrawal

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16
Q

Withdrawal symptoms:
-irritability, anger, depression
-nervousness, anxiety
-sleep difficulties
-decreased appetite/weight loss
-restlessness
-abdominal pain, shakiness/tremors, sweating, fever, chills, headaches

A

Cannabis withdrawal

17
Q

Withdrawal syndrome:
-moodiness
-N/V/D
-muscle aches
-lacrimination, rhinorrhea
-yawning
-pupillary dilation, piloerection, sweating
-fever
-insomnia

A

Opioid withdrawal

18
Q

Withdrawal syndrome:
-fatigue
-vivid, unpleasant dreams
-insomnia or hypersomnia
-increased appetite
-psychomotor retardation or agitation

A

Stimulant withdrawal

19
Q

Withdrawal syndrome:
-irritability, frustration, anger
-anxiety
-difficulty concentrating
-increased appetite or weight gain
-restlessness
-depressed mood
-insomnia
-decreased HR

A

Tobacco withdrawal

20
Q

Key findings/physical exam:
-Extreme fussiness/irritability
-facial bruising
-subconjunctival or retinal hemorrhages
-difficulty staying awake
-breathing problems
-lethargy, poor feeding, vomitting
-pale/bluish skin
-seizures, damage to spinal cord or neck, fractures of the ribs and bones, cognitive impairments, behavioral problems
-CP, paralysis, coma

A

Abusive head trauma

21
Q

Stage of change:
Individual is not yet considering change or is unwilling or unable to change

A

Stage 1: precontemplation

22
Q

Stage of change:
Individual recognizes the possibility of change, but is ambivalent and uncertain

A

Stage 2: contemplation

23
Q

Stage of change:
Individual is committed to changing, but is still considering what to do

A

Stage 3: determination

24
Q

Stage of change:
Individual is taking steps towards change, but the change is not yet stabilized

A

Stage 4: action

25
Q

Stage of change:
Individual’s goals have been achieved and efforts are focused on maintaining the change

A

Stage 5: maintenance

26
Q

Stage of change:
Individual’s goals have been achieved and efforts are focused on maintaining the change

A

Stage 5: maintenance

27
Q

Stage of change:
Individual experiences a recurrence/relapse of the old behaviors and is deciding what to do next

A

Stage 6: recurrence